U.S. USDA Form usda-rd-440-11
ESTIMATE OF FUNDS NEEDED
FOR
30-Day Period Commencing
USDA-RD
Form RD 440-11
(Rev.10-00)
FORM APPROVED
OMB NO. 0575-0015
Name of Borrower
Items
Amount of Funds
Development .....................................................................................................
$
Contract or Job No.
Contract or Job No.
Contract or Job No.
Land and Rights-of-Way ...................................................................................
Legal Services ...................................................................................................
Engineering Fees ..............................................................................................
Interest ..............................................................................................................
Equipment ........................................................................................................
Contingencies ...................................................................................................
Refinancing ......................................................................................................
Initial O & M ....................................................................................................
Other ................................................................................................................
TOTAL ..................................................................................................
$
Prepared by
Name of Borrower
By
Date
Approved by
Date
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person in not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0015. The time
required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Position 2
RD 440-11 (Rev. 10-00)